CosyCot™ Infant WarmerMobile Infant WarmerNeopuff™ Infant T- Piece Resuscitator

CosyCot ™ Infant Warmer

HYPOXIA

Increased Metabolic Rate

Peripheral Vasconstriction

Pulmonary Vasconstriction

Cold Stress

O2Demand

O2 Supply

O2 Supply

70 kg175 cm

264 cm2/kg

3 kg50 cm

986 cm2/kg

1 kg40 cm

1042 cm2/kg

70 kg175 cm

264 cm2/kg

70 kg175 cm

264 cm2/kg

3 kg50 cm

986 cm2/kg

1 kg40 cm

1042 cm2/kg

3 kg50 cm

986 cm2/kg

3 kg50 cm

986 cm2/kg

1 kg40 cm

1042 cm2/kg

1 kg40 cm

1042 cm2/kg

Immediately after delivery the newborn baby experiences some degree of thermal instability as it moves from the warm stable environment of the mother's womb to the cooler environment of the delivery room. Research has shown that any significant fall in the baby’s temperature will increase mortality risk1.

Immediately After Delivery• A newborn baby has around four times greater capacity

to lose heat than an adult.

• A newborn baby will lose heat via radiant and convective losses to the cooler environment, evaporative losses through the skin and conductive losses to cooler surfaces.

• A full-term baby's temperature can fall by 1 to 2°C over 30 minutes2.

The Result of Cold Stress• Rapid cooling will produce cold stress that can increase

the baby's metabolism and oxygen consumption and this may eventually lead to hypoxia.

• The effects of cold stress can be reduced if

the baby is promptly returned to thermal stability

after delivery with safe, powerful and controlled radiant warming.

The Thermal Neutral Zone• Thermal stability is essential for every baby, especially

those with limited metabolic capacity due to illness, prematurity or low birthweight.

• Both heat stress and cold stress can result in the baby using more of their limited metabolic capacity for thermoregulation and less for growth and survival.

• For optimal thermal stability the baby's temperature must be kept within the Thermal Neutral Zone.

Research has shown that the Thermal Neutral Zone for preterm babies less than 30 weeks, is less than 0.5°C3.

• Once stabilized in the Thermal Neutral Zone, energy expenditure and oxygen consumption is minimized promoting optimal growth.

Why Infant Warming is Vital

1. Richardson et al (2001) SNAP-II and SNAPPE-II: Simplified newborn illness severity and mortality risk scores. J. Paed:38:92-100

2. Fanaroff and Martin (2002) Neonatal - Perinatal Medicine, Diseases of the Fetus and Infant.7th Edition:1:423-425

3. Wheldon and Hull (1983) Incubation of very immature Infants. Archives of Disease in Childhood.

Death

Maximal

Normal range

Temperature

Metabolism

36.5°C 36°C 32°C 37.5°C 40°C

Met

abol

ic R

ate,

(O 2 C

onsu

mpt

ion)

Mod

erat

e

Hyp

othe

rmia

Mild

H

ypot

herm

ia

Hyp

erth

erm

ia

Death

Sev

ere

Hyp

othe

rmia

Sev

ere

Hyp

erth

erm

ia

Neutral thermal

environment

What Makes Our Warmers Different

Fisher & Paykel provides the best thermal management systems to ensure that the baby's limited metabolic capacity is used for growth rather than for thermoregulation.

For an ideal warming system, ease-of-use is as important as functionality and performance.

Our infant warmers provide advanced warming capabilities while using one-touch operations to simplify day-to-day use.

Choose from the fully featured and easily transported CosyCot™ Infant Warmer for Labor & Delivery and NICU, to the Mobile Infant Warmer for convenient warming wherever needed.

CosyCot™ Infant Warmer In Labor & Delivery

Fisher & Paykel Infant Warmers rewarm and stabilize the newborn baby immediately after delivery. The integrated bassinet and optional accessories offer convenient and easy-to-use equipment for optimal thermal care and resuscitation.

Easy-to-Use

• While technologically advanced, we have kept the warmers simple and easy-to-use with one-touch controls.

Warming Without Delay

• The Prewarm Mode allows the warmer to be kept ‘baby ready’ without nuisance alarms. When needed the warmer provides safe, powerful and controlled warming to restore the temperature drop experienced by the baby immediately after delivery.

Focused Heating

• The small heater makes it easier to work with the baby by efficiently providing even heat distribution across the mattress and not into the surrounding environment.

Neopuff™ Infant T-Piece Resuscitator

• The Neopuff™ Infant T-Piece Resuscitator provides optimal resuscitation with safe and controlled peak inspiratory pressure (PIP), and a consistent and precise positive end-expiratory pressure (PEEP).

Configurable

• The modular design of the CosyCot™ Infant Warmers allows for modules and accessories to be installed to suit your needs today and as they change in the future.

Lightweight and Mobile

• The CosyCot™ Infant Warmer can be easily moved throughout the hospital with the optional UPS Battery Module providing continuous power during transport.

CosyCot™ Infant Warmer In Labor & Delivery

All accessories shown are optional.

Please refer to the product catalogue for part numbers.

Cosy

Cot™

in L

abor

& D

elive

ry

E

H

FG

B

C

D

J

I

K

O

P

Q

N

L

M

A

A Short Mounting Pole

B Gas Accessory Block

C Single Flowmeter

D Neopuff™ Infant T-Piece Resuscitator

E Hose Hook

F Bird / Biomed Blender

G Side Shelf

H Venturi Suction

I CosyGrip™ Tube Holder

J CornerGrip™ Tube Holder

K Transport Handle

L Accessory Hook

M Large Storage Bin

N Suction Canister Mount

O UPS Battery Module

P Dual Cylinder Racks

Q Electric Elevator Module

CosyCot™ Infant Warmer In Neonatal Intensive Care

Fisher & Paykel Infant Warmers measure and respond to the small changes faster using precise, frequent and reliable measurement and control of the baby's temperature.

Stable Temperature Control

• The baby's temperature must be kept within the Thermal Neutral Zone to ensure that the baby's limited metabolic capacity is used for growth rather than for thermoregulation.

• Research has shown that the Thermal Neutral Zone for preterm babies less than 30 weeks, is less that 0.5°C1.

• CosyCot™ Infant Warmers utilize sophisticated control algorithms to ensure the baby's temperature is continuously maintained at the desired set temperature.

Easy-to-Use

• While technologically advanced, we have kept the warmers simple and easy-to-use with one-touch controls.

• The CosyCot™ bassinet includes CornerGrips™ for low-level placement of tubes, drains and cables without interference during opening and closing of the bassinet side.

Warming Without Delay

• The Prewarm Mode allows the warmer to be kept ‘baby ready’ without nuisance alarms. When needed the warmer provides safe, powerful and controlled warming to maintain the baby's temperature within the Thermal Neutral Zone.

Focused Heating

• The small heater makes it easier to work with the baby by efficiently providing even heat distribution across the mattress and not into the surrounding environment.

Neopuff™

Infant T-Piece Resuscitator

• The Neopuff™ Infant T-Piece Resuscitator provides optimal resuscitation with safe and controlled peak inspiratory pressure (PIP), and a consistent and precise positive end-expiratory pressure (PEEP). The Neopuff™ can easily be set to duplicate ventilator settings during circuit changes and other procedures.

Configurable

• The modular design of the CosyCot™ Infant Warmers allows for modules and accessories to be installed to suit your needs today and as they change in the future.

1. Wheldon and Hull (1983) Incubation of very immature Infants. Archives of Disease in Childhood.

Death

Maximal

Normal range

Temperature

Metabolism

36.5°C 36°C 32°C 37.5°C 40°C

Met

abol

ic R

ate,

(O 2 C

onsu

mpt

ion)

Mod

erat

e

Hyp

othe

rmia

Mild

H

ypot

herm

ia

Hyp

erth

erm

ia

Death

Sev

ere

Hyp

othe

rmia

Sev

ere

Hyp

erth

erm

ia

Neutral thermal

environment

All accessories shown are optional.

Please refer to the product catalogue for part numbers.

CosyCot™ Infant Warmer In Neonatal Intensive Care

Cosy

Cot™

in N

ICU

A

B

C

E

8

9

O

N

Q

P

J

LM

F

K

G

D

A Bent IV Pole

B Accessory Hook

C Long Mounting Pole

D Flowmeter Module

E neoweigh™ Infant Scale

F neoBLUE® mini Phototherapy Lamp

G Neopuff™Infant T-Piece Resuscitator

H Wall Suction

I Gas Low Pressure Module

J CosyGrip™ Tube Holder

K CornerGrip™ Tube Holder

L X-Ray Tray

M Transport Handle

N Dual Cylinder Rack

O Suction Canister Mount

P Large Storage Bin

Q Electric Elevator Module

Incorporating all the warming benefits of the CosyCot™ Infant Warmer, the Mobile Infant Warmer is designed for easy mobility and simple, safe height adjustment over a bed, bassinet or examination table - anywhere warming is needed.

Easy-to-Use

• While technologically advanced, we have kept the warmers simple and easy-to-use with one-touch controls.

Warming Without Delay

• The Prewarm Mode allows the warmer to be kept ‘baby ready’ without nuisance alarms. When needed the warmer provides safe, powerful and controlled warming to maintain the baby’s temperature within the Thermal Neutral Zone.

Focused Heating

• The small heater makes it easier to work with the baby, by efficiently providing even heat distribution where needed and not into the surrounding environment.

Lightweight and Mobile

• The compact wheelbase provides convenient maneuverability while continuing to provide safe, effective warming for the baby. The Neopuff™

Infant T-Piece Resuscitator can be conveniently mounted on the mobile pole for easy access during resuscitation.

Mobile Infant WarmerWherever warming is needed

Mobile Infant WarmerWherever warming is needed

Mobil

e Inf

ant W

arme

r

Neopuff™ Infant T-Piece ResuscitatorWherever resuscitation is needed

The Neopuff™ Infant T-Piece Resuscitator will safely inflate the baby’s lungs and provide optimum oxygenation by delivering consistent PIP with each breath to avoid the risks associated with under or over inflation at uncontrolled pressures. A consistent and precise PEEP is maintained throughout the resuscitation process, maintaining functional residual capacity (FRC) and recruitment of alveoli which prevents lung collapse.

Ref: Data from measurements using resus simulator, self-inflating bag and Neopuff by qualified resuscitator.

Set PIP Set PEEP Inspiratory time Expiratory time

The Neopuff™ Infant T-Piece Resuscitator is an easy-to-use, manually operated, gas-powered resuscitator that provides optimal resuscitation with a safe and controlled peak inspiratory pressure (PIP) and a consistent and precise positive-end expiratory pressure (PEEP).

Easy-to-Use

• The experience, training and fatigue of the operator does not effect the delivered pressures.

• The Neopuff™ can accept and deliver oxygen concentrations from 21% to 100%.

• The patient T-piece can be attached to neonatal masks or endotracheal tubes.

• The fast acting manometer provides constant reassurance of mask seal and delivered PIP and PEEP.

Alternative Temporary Respiratory Support

• Consistent PEEP can be delivered to assist with breathing during transport or ventilator circuit changes.

Controlled PIP PIP is too High Short Inspiritory Time

Consistent PEEP No PEEPTime (s)

Pressure vs Time

Pres

sure

cmH 2

O

Neopuff™ Self Inflating Bag

Neopuff™ Infant T-Piece ResuscitatorWherever resuscitation is needed

Installed in CosyCot™ Infant Warmer

Please refer to the product catalogue for part numbers and ordering options.

Neop

uff™

Infan

t Res

uscit

ator

A

D

F E

B

C

A Neopuff™ Infant T-Piece Resuscitator

B Patient Supply Line

C Patient T-Piece

D Gas Supply Line

E Infant Resuscitation Masks

F Test Lung

REF

1850

4116

5 RE

V F

200

9-02

Fisher & Paykel Healthcare Infant WarmersProduct Specifications

IW930/950 CosyCot™ and IW910/920 Mobile

Electrical • 230±20VACSupplyvoltage • 120VAC • 100±10VAC

Supplyfrequency • 50/60Hz

Irradiance 32mW/cm2at100%powerat68cm (26.8")heatergrilltomattressdistance

TemperatureRange SetTempfrom34.5ºCto37.5ºCin 0.1ºCsteps DisplayedTemperaturefrom4.0ºCto50.0ºC

TemperatureAlarm ±1ºCfromSetTemperature

Heater Rotation -130ºto+130ºfromcenterposition depends on installation

Alarms Baby Control Manual Control • CheckBaby • CheckBaby • High/LowTemp • SeeManual • SensorDisconnect • PowerFail • SeeManual • SensorFailure • PowerFail • SensorFailure

Certification IEC60601-2-21 IEC60601-1 IEC60601-1-2 UL2601-1 AS3200.1 CAN/CSAC22.2No.601.1 EN60601-1 ISO8382

IW930/950 CosyCot™

Height • ElectricElevatorModule Adjustablefrom170to186cm (66.9"-73.2") • PresetHeightModule 173.2or182.6cm(68.2"or71.9")

Width 77cm(30.3")excludingshelves

Depth 110to129cm(43.3"-50.8") Dependsonheightandaccessories

Weight without accessories • ElectricElevatorModule -67kg(147lb)(fromJune2008) -60.8kg(134lb)(preJune2008) • PresetWeightModule 58kg(128lb)

Heater Grill to Mattress 68cm(26.8")

Mattress Height • ElectricElevatorModule 87.8to103.6cm(34.6"-40.8") • PresetHeightModule 90.5or100.5cm(35.6"or39.6")

Bassinet Size Standard:65x65cm(25.5"x25.5") Long:65x75cm(25.5"x29.5")

Bassinet Position -10ºto+10ºcontinuoustilt

Castors 4xDualWheelLockingCastors10cm(4")

IW910/920 Mobile Infant Warmer

Height • Adjustable 151to191cm(59.4"-75.2") • Formattressheights 71to110cm(28"-43.3")

Width 65cm(25.6")

Weight 22kg(48.5lb)excludingaccessories

Castors 5xDualWheelLockingCastors5cm(2")

}

Neopuff™ Infant T-Piece Resuscitator

Manometer Range -20to80cmH2O [mbar]

Maximum pressure relief* @8LPM5to70cmH2O

Peak inspiratory @8LPM4to73cmH2O pressure (PIP)*

Positive end-expiratory @8LPM1to9cmH2O Pressure (PEEP)*

Gas inlet flow range 5LPM(min)to15LPM(max) Ifthegasinletflowrateincreases from 5to15LPM,thepeakinspiratory pressure typically increases approximately8cmH2O(0.8kPa)

Delivered oxygen Upto100%dependingon concentration gas supply

Operating time* @8LPM50minutes 400L cylinder

Height 250mm(9.8”) Width 200mm(7.9”) Depth 100mm(3.9”)

Weight 1.9kg(4.2lb)

Recommended Upto10kg(22lb) body weight

Operating and -20°Cto50°C storage limits Upto90%relativehumidity

Standard ISO10651-5

*Typical values

For full product specifications please refer to your Technical Manual or contact your Fisher & Paykel Healthcare Supplier.Accessories ShownThe accessories shown are intended only to illustrate a typical configuration. The Fisher & Paykel Healthcare Infant Warmers and accessories can be customized to suit your requirements.Ordering InformationThe Fisher & Paykel Healthcare Infant Warmers and accessories are available separately or as a complete system. Please refer to our product catalogue or contact your local Fisher & Paykel Healthcare supplier for further information and assistance. Fisher & Paykel Healthcare have a policy of continuous product improvement and reserve the right to alter specifications without notice.

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MANUFACTURER Fisher & Paykel Healthcare Limited, 15 Maurice Paykel Place, East Tamaki, Auckland 2013; P O Box 14 348, Panmure, Auckland 1741, New Zealand Tel: +64 9 574 0100 Fax: +64 9 574 0158 Email: info@fphcare.com Web Site: www.fphcare.com AUSTRALIA Tel:+61 3 9879 5022 Fax:+61 3 9879 5232 AUSTRIA Tel: 0800 29 31 23 Fax: 0800 29 31 22 BENELUX Tel:+31 40 216 3555 Fax:+31 40 216 3554 CHINA Tel:+86 20 3205 3486 Fax:+86 20 3205 2132 FRANCE Tel:+33 1 6446 5201 Fax:+33 1 6446 5221 GERMANY Tel:+49 7182 93777 0 Fax:+49 7182 93777 99 INDIA Tel:+91 80 4123 6041 Fax:+91 80 4123 6044 IRISH REPUBLIC Tel: 1800 409 011 ITALY Tel:+39 06 7839 2939 Fax:+39 06 7814 7709 JAPAN Tel:+81 3 3661 7205 Fax:+81 3 3661 7206 MIDDLE EAST Tel: +9 71 4 360 0849 Fax: +9 71 4 368 8110 NORTHERN IRELAND Tel: 0800 132 189 SPAIN Tel:+34 902 013 346 Fax:+34 902 013 379 SWEDEN Tel: +46 8 564 76 680 Fax: +46 8 36 63 10 SWITZERLAND Tel: 0800 83 47 63 Fax: 0800 83 47 54 UK (EU Authorised Representative) Fisher & Paykel Healthcare Ltd, Unit 16, Cordwallis Park, Clivemont Road, Maidenhead, Berkshire SL6 7BU, United Kingdom Tel:+44 1628 626 136 Fax:+44 1628 626 146 USA Tel: +1 800 446 3908 or +1 949 453 4000 Fax:+1 949 453 4001